Tooth cyst: duab, tsos mob, kho, tshem tawm thiab qhov tshwm sim

Cov txheej txheem:

Tooth cyst: duab, tsos mob, kho, tshem tawm thiab qhov tshwm sim
Tooth cyst: duab, tsos mob, kho, tshem tawm thiab qhov tshwm sim

Video: Tooth cyst: duab, tsos mob, kho, tshem tawm thiab qhov tshwm sim

Video: Tooth cyst: duab, tsos mob, kho, tshem tawm thiab qhov tshwm sim
Video: Tshuaj theem vim li cas thiaj tau nqi ?/ Siv kho mob dab tsi?/paris polyphylla use for? 2024, Lub Xya hli ntuj
Anonim

Cov neeg mob tuaj rau kws kho hniav nrog ntau yam teeb meem. Ib txhia ntawm lawv yog ib qho yooj yim kho, thiab muaj cov uas koj yuav tsum tau siv zog ntau los cawm ib tug neeg los ntawm kev txom nyem. Cov no suav nrog cov kab mob hniav. Tom ntej no, xav txog qhov ua rau kev loj hlob ntawm tus kab mob thiab txoj kev kho.

YPathology yog dab tsi

Tooth cyst yog ib qho kev sib cais ntawm cov kab mob sib kis nrog nws cov phab ntsa hauv cov hauv paus hniav. Cov kab mob kab mob nyob hauv qhov tsim, muaj cov seem ntawm cov ntaub so ntswg necrotic. Nyob rau saum npoo ntawm lub cyst, muaj cov cell uas tso kua dej, yog li nws muaj peev xwm nce.

Lub cev tiv thaiv kab mob sim tiv thaiv cov neoplasm, yog li cov txheej txheem inflammatory pib. Txoj kab uas hla ntawm lub cyst ntawm cov hauv paus hniav tuaj yeem yog ob peb millimeters loj, thiab qee zaum nce mus txog ob peb centimeters.

Nyob zoo li cas

Yog qhov tsim me me, ces nws yuav luag tsis pom ntawm qhov muag liab qab. Thaum tus hniav cyst tau pom, daim duab qhia meej meej qhov no, uas txhais tau hais tias cov txheej txheem tau dhau mus dhau lawm thiab yuav tsum tau muaj kev kho mob sai.

Tsis muaj kev tsim ntawm cov pos hniav, tab sis nws dhau losliab, o thiab mob. Tus kws kho mob piav qhia qhov kev kuaj mob ntawm x-ray, uas qhov tsim tau pom nyob rau hauv daim ntawv ntawm ib qho chaw tsaus nrog pom meej contours hauv cheeb tsam ntawm cov hauv paus hniav.

Cov hniav cyst hauv daim duab
Cov hniav cyst hauv daim duab

Cas of cyst formation

Ib neoplasm ntawm cov hauv paus hniav tuaj yeem tshwm sim rau ntau qhov laj thawj, tab sis feem ntau qhov no yog vim kev nkag mus ntawm tus kab mob mus rau hauv cov ntaub so ntswg. Qhov no tuaj yeem ua tau hauv cov xwm txheej hauv qab no:

  • Tshuaj mob hniav.
  • Vim qhov kev kho mob caries tsis zoo, tus kab mob tau nkag mus rau hauv cov hauv paus hniav.
  • Tawm tsam keeb kwm yav dhau los ntawm kev kis kab mob hauv qhov ncauj kab noj hniav lossis hauv ib qho ntawm cov kab mob hauv nruab nrog cev, cov kab mob uas cov ntshav ntws nkag mus rau hauv lub sijhawm.
  • Pathogenic microorganisms qhia los ntawm cov cuab yeej endodontic thaum kho caries lossis prosthetics.
  • Muaj cov txheej txheem inflammatory hauv qab lub kaus mom.
  • Nyob rau hauv lub cev.
  • Muaj ib qho teeb meem ntawm kev mob caj dab ntev.
  • Rau teeb meem kho hniav hnyav.
  • Tom qab tsis ua tiav implantation lossis kho caries.
  • Txoj kev nyuaj tshwm sim los ntawm kev txawj ntse.
  • Kab mob kis ntawm nasopharynx.
kho hniav cyst
kho hniav cyst

Cov npe ntev ntawm cov laj thawj tseem nqis los rau kev nkag mus ntawm tus kab mob, uas ua rau muaj kev loj hlob ntawm tus hniav cyst.

Kev txhim kho ntawm pathology

Ib lub cyst feem ntau tshwm sim nyob rau hauv lub xub ntiag ntawm periodontitis, uas yog tsis kho txhua, los yog cov kev kho yog nqa tawm tsis paub ntawv.

txheej txheem txhim kho ntxivcysts zoo li no:

  • Kab mob periodontal, nce zuj zus, ua rau muaj kev tsim cov cyst.
  • Maj mam nce qhov loj me, cov neoplasm yog npog los ntawm sab saud los ntawm cov ntaub qhwv ntawm cov ntaub so ntswg, thiab ib txheej ntawm epithelium yog tsim nyob rau hauv.
  • Inside, semi-kua cov ntsiab lus tau maj mam sau los ntawm cov hlwb tuag thiab tuag leukocytes, uas tau sim tiv nrog cov kab mob.
  • Yog tshuav tsis kho, lub cyst loj hlob ntxiv thiab nkag mus rau cov hniav uas nyob ib sab.

Nws tseem ceeb heev uas yuav tau mus ntsib kws kho mob thaum thawj cov tsos mob tshwm sim, ces koj tuaj yeem tshem tau cov cyst, txuag cov hniav.

Cov tsos mob ntawm pathology

Thaum thawj theem ntawm txoj kev loj hlob, cov hniav cyst qhia tau hais tias tsis muaj cov cim qhia, yog li nws nyuaj heev rau kev kuaj mob. Thawj qhov tsis xis nyob feem ntau pib tshwm sim thaum tsim kom ncav cuag qhov loj me. Tab sis koj tuaj yeem qhia txog cov tsos mob ntawm tus hniav cyst, uas yuav ua rau koj xav tias muaj teeb meem raws sijhawm thiab nrog kws kho mob:

  • Nyob ze ntawm cov hauv paus hniav, qhov o maj mam nce. Cov txheej txheem ntev, tab sis pom tau.
  • Mob taub hau tshwm sim, tshwj xeeb tshaj yog tias cov cyst tsim nyob rau hauv thaj tsam ntawm maxillary sinuses. Txawm noj tshuaj loog los yeej tsis pab txo tau.
  • Ib fistula tshwm rau ntawm cov pos hniav, taw qhia cov txheej txheem pathological ntawm lub hauv paus.
  • Nrog rau qhov hnyav ntawm cov txheej txheem, qhov kub nce.
  • Nyob rau hauv tus txheej txheem ntawm cyst kev loj hlob, kev qaug zog tshwm sim.
  • Kev noj qab haus huv tag nrho.
  • Lymph nodes loj thiab ua mob.
  • A flux tshwm ntawm cov pos hniav.
  • Pus pib nkag los ntawm fistula.
Cov tsos mob ntawm tus hniav cyst
Cov tsos mob ntawm tus hniav cyst

Tsis txhob ncua sijhawm mus ntsib kws kho hniav, kev kho hniav cyst yog yooj yim dua nyob rau theem pib ntawm nws txoj kev loj hlob.

Yuav ua li cas thiaj paub meej qhov kev kuaj mob

Thaum koj mus ntsib kws kho hniav thawj zaug, tus kws kho mob yuav tshawb xyuas seb puas muaj teeb meem kev kho hniav, kev kho mob zoo li cas. Feem ntau nws hloov tawm tias muaj kev kho mob ntawm pulpitis lossis periodontitis, thiab tom qab ntawd muaj teeb meem tom qab kev txiav cov pos hniav.

X-ray tso cai rau kev kuaj mob kom raug. Koj tuaj yeem tau txais ntau txoj hauv kev:

  1. Hu rau intraoral radiograph. Nws tso cai rau koj pom qhov kev puas tsuaj ntawm cov pob txha cov ntaub so ntswg, qhov xwm txheej ntawm cov kwj dej thiab cov hauv paus hniav, txhawm rau txheeb xyuas cov perforations thiab fragments ntawm cov cuab yeej endodontic. Nws kuj pom meej meej hauv daim duab yuav ua li cas lub cyst tiv nrog cov hniav nyob sib ze.
  2. Orthopantomogram. Nov yog ib qho piv txwv ntawm ob lub puab tsaig ib zaug.
  3. Txheej txheem xov tooj cua, uas npog cov pob txha pob txha ntawm lub qhov ntswg mus rau lub puab tsaig. Daim duab qhia tau meej meej txog qhov mob ntawm maxillary sinuses thiab tuaj yeem kuaj tau yog tias lub cyst tau loj hlob mus rau hauv lawv cov kab noj hniav.

Ntxiv rau x-rays, txoj kev ntawm electroodontodiagnostics kuj tseem siv, uas tso cai rau kev soj ntsuam cov hluav taws xob excitability ntawm cov hniav nyob ib sab ntawm lub cyst. Qee zaum, kev tshuaj xyuas histological ntawm cov ntsiab lus ntawm lub cyst yog pom zoo los txiav txim seb nws puas yog malignant lossis benign.

Cov kev kuaj mob niaj hnub tso cai 100% qhov tseeb kom paub txog lub cyst ntawmhauv paus hniav. Kev kho mob yuav raug xaiv nyob ntawm cov txiaj ntsig ntawm kev kuaj mob. Tus kws kho mob yuav tsum tau tham txog cov tswv yim nrog tus neeg mob.

Cyst kho mob

Cov lus nug tshwm sim thaum kuaj pom tus hniav, kho lossis tshem tawm? Kev xaiv yog nyob ntawm tus neeg mob, tab sis tus kws kho hniav yuav tsum piav qhia txhua yam kom paub meej kom thiaj li txiav txim siab tau.

Kev kho mob tuaj yeem ua tau ob txoj hauv kev:

  1. Kev tshem tawm.
  2. kev kho mob.

Kev ua haujlwm

Kev phais yog qhia hauv cov xwm txheej hauv qab no:

  • mob hnyav tau tshwm sim.
  • Tus neeg mob mob hnyav.
  • Lub cyst tau loj hlob ntau dua 1 centimeter.
  • Neoplasm nyob hauv qab cov hniav uas muab tso rau.
Kev tshem cov hniav cyst
Kev tshem cov hniav cyst

Hauv kev xyaum kho hniav, ntau hom kev phais yog siv, uas yog xaiv nyob ntawm seb hom cyst thiab nws qhov loj me:

YCystotomy. Indications rau kev phais:

  • Tooth cyst loj.
  • Neoplasm tau ntes ntau cov hniav.
  • Yog cov hlwv nyob rau hauv lub puab tsaig qis thiab pom cov pob txha nyias nyias.
  • Tseem muaj kev puas tsuaj ntawm pob txha hauv pem teb ntawm qhov ntswg kab noj hniav.

Cov txheej txheem tsis nyuaj rau tus neeg mob thiab tus kws kho mob, tab sis yuav tsum muaj lub sijhawm rov qab los ntev. Tus kws kho hniav tshem tawm cov phab ntsa sab nrauv, tshem tawm cov ntsiab lus ntawm lub cyst, thiab siv cov tshuaj tua kab mob rau kev kho mob. Tom qab ua haujlwm, tau muab tshuaj tua kab mob.

Cystectomy. Thaum tus txheej txheem, tus kws kho mob tshem tawmhniav cysts nrog rau sab saum toj ntawm cov hauv paus hniav. Lub qhov txhab yog sutured thiab tau muab tshuaj tua kab mob. Lawv siv qhov haujlwm no yog tias:

  • cyst yog me.
  • Neoplasm nyob rau thaj chaw uas cov hniav ploj lawm.
  • Kev loj hlob ntawm lub cyst yog txuam nrog kev tsim ntawm cov epithelium.

Hmoob. Kev tshem tawm ntawm cov hniav cyst nrog rau cov hauv paus hniav, nrog rau ib feem ntawm cov hniav cuam tshuam. Tom qab kev ua haujlwm, lub kaus mom tau muab tso rau kom rov ua haujlwm ntawm cov hniav.

Kev Tiv Thaiv Kev Tiv Thaiv

Tsis yog nyob rau hauv txhua rooj plaub nws yog tsim nyog rau tam sim ntawd mus rau kev phais. Kev kho hniav muaj nyob rau hauv nws cov cuab yeej arsenal uas muaj peev xwm tshem tawm cov cyst tsis tshem cov hniav. Cov txheej txheem kho mob suav nrog cov kauj ruam hauv qab no:

  1. kwv yees kho kab mob siv tshuaj tua kab mob.
  2. Kev qhia tshuaj rau saum lub hauv paus.
  3. ib ntus filling.
  4. Tom qab lub sijhawm qee lub sijhawm, qhov ua tau zoo ntawm kev kho tau raug ntsuas los ntawm kev siv x-ray. Yog tias tsim nyog, cov txheej txheem rov ua dua.
  5. Tom qab lub cyst ploj lawm, tus kws kho mob txhim kho qhov txhaws tas mus li.
Kev kho cov cysts nrog cov txheej txheem conservative
Kev kho cov cysts nrog cov txheej txheem conservative

Hauv kev xyaum, lwm txoj kev siv - depophoresis. Calcium tooj liab hydroxide yog siv, nws yog txhaj rau hauv kwj dej thiab kis nrog kev pab los ntawm ib tug hluav taws xob tam sim no rau cov ntaub so ntswg nyob sib ze, nrog rau lub cyst. Feem ntau nws txaus los ua 3-4 cov txheej txheem los tshem tus neeg mob ntawm lub cyst. Kev ncua tshuaj ntxiv nyob rau hauv cov kwj dej ntawm tus hniav tiv thaiv nws rov qabkev kawm.

Vim tias kab mob feem ntau yog kis tus kab mob, cov tshuaj tua kab mob yog siv rau kev kho mob. Lawv tshem tawm cov txheej txheem inflammatory hauv cov ntaub so ntswg, yog li ua kom yooj yim rau cov kab mob.

Tsuas yog kws kho mob yuav tsum tau sau tshuaj tua kab mob, feem ntau poob rau hauv pawg no:

  • "Tetracycline", tab sis tsis ntev los no nws tau siv tsawg dua, muab cov kev mob tshwm sim ntau.
  • YCifroploxacin.
  • Amoxicillin.

Qee zaum, cov tshuaj tua kab mob tau pom zoo los ua ib qho ntxiv.

YLaser tshem tawm

Kev kho hniav cyst nrog lub laser tam sim no suav tias yog ib txoj hauv kev zoo hauv kev kho hniav. Cov kws kho mob hais txog ntau yam txiaj ntsig ntawm txoj kev kho no:

  • Tus neeg mob tsis mob thaum kho.
  • YLub laser zoo kawg nkaus tua cov kab mob microflora.
  • Lub teeb laser tsis muaj peev xwm kis tau.
  • Lub qhov txhab kho sai sai, uas txo qhov ntev ntawm lub sijhawm rov zoo.
  • Cov hniav nyob hauv qhov chaw, tsis tas yuav rho tawm.
  • Tsis muaj kev pheej hmoo los ntshav.
Laser cyst tshem tawm
Laser cyst tshem tawm

Txhua tus txheej txheem yog raws li hauv qab no:

  1. Tus kws kho mob tshem qhov txhaws lossis npaj cov hniav kom qhib kwj dej.
  2. Nrog kev pab los ntawm cov cuab yeej tshwj xeeb, cov channel tau nthuav dav.
  3. Lub cuab tam tau muab tso rau hauv lub qhov loj thiab siv lub laser.

Txoj kev kho hniav cyst yogkim dua, tab sis nws ntau dua li them nrog kev rov qab sai, tsis muaj teeb meem. Thaum lub sij hawm tus txheej txheem, tus neeg mob xyaum tsis hnov mob, uas kuj tseem ceeb.

Puas kho tau tom tsev?

Txhim kho cov cyst ntawm cov hauv paus hniav yuav tsis ua haujlwm nrog kev pab los ntawm kev kho neeg pej xeem. Koj tuaj yeem yaug nrog qhov mob nyem, txo cov txheej txheem inflammatory me ntsis, tab sis cov neoplasm yuav tsis mus qhov twg. Yog tias koj txiav txim siab siv cov tshuaj pej xeem, koj yuav tsum nco ntsoov:

  • Koj tsis tuaj yeem tso cov pos hniav ntawm qhov chaw ntawm cyst tsim. Qhov no tsuas yog nce tus nqi ntawm kev tsim tawm ntawm cov kab mob pathogenic microorganisms thiab nce o. Overheating ntawm lub cyst tuaj yeem ua rau nws tawg, tom qab ntawd cov kua paug yuav nkag mus rau hauv cov hlab ntsha thiab mus thoob plaws lub cev. Cov teeb meem yog qhov tsis muaj tseeb.
  • Kev siv dej khov lossis lub ntsuas cua txias tsis pom zoo, muaj qhov tshwm sim ntawm qhov mob hnyav thiab koj tuaj yeem ua rau cov hlab ntsha txias.

Tsis txhob noj tshuaj rau tus kheej, nws yog qhov zoo dua yog hu rau tus kws tshaj lij uas yuav pab tshem tawm cov neoplasm yam tsis muaj kev cuam tshuam loj rau kev noj qab haus huv.

Yog lub cyst nyob hauv qab lub kaus mom, kuv yuav ua li cas?

Qhov tsos ntawm neoplasm hauv qab lub kaus mom feem ntau yog qhov tshwm sim ntawm kev ua txhaum cai thaum nws teeb tsa. Yog li ntawd, cov kab mob microorganisms nyob nruab nrab ntawm cov hniav thiab cov pos hniav thiab pib ua kom nquag plias. Yuav ua li cas rau qhov no:

  1. Yog tias lub cyst me me, ces lub kaus mom tsis tuaj yeem raug tshem tawm, tab sis txoj kev kho tuaj yeem ua tiav yam tsis muaj kev phais, siv txoj kev khaws cia.
  2. Yog tias muaj lub cyst loj dua 8 hli, qhov kev pheej hmoo ntawm cov hniav yuav nce ntxiv, tab siskws kho mob thiab nyob rau hauv xws li ib tug teeb meem no yuav cawm tau nws. Cov hniav qhib, cov kwj dej tau kho nrog kev npaj tshwj xeeb kom tshem tawm cov cyst. Tom qab qee lub sijhawm, tom qab cov neoplasm ploj mus, cov yas tuaj yeem muab tso rau hauv nws qhov chaw.
  3. Yog tias kev ntsuas tsis pab, koj yuav tsum tau mus rau qhov kev tshem tawm sai sai.
  4. Thaum mob hnyav, cov hniav yuav tsum tau muab rho tawm.

Yog tias cov tsos mob tsis zoo tshwm sim, ces koj yuav tsum tsis txhob kuaj koj tus kheej. Nws yog qhov zoo dua mus ntsib kws kho mob, ces cov teeb meem yuav zam tau.

Txaus ntawm cysts

Yog tias tsis kho neoplasm, kev loj hlob txuas ntxiv, ces muaj qhov tshwm sim ntau ntawm kev puas tsuaj ntawm cov pob txha ntawm lub puab tsaig. Qhov no yuav ua rau muaj teeb meem loj dua:

  • Purulentitis.
  • Kev loj hlob ntawm lub cyst yuav ua rau cov pob txha ntawm lub puab tsaig.
  • Cov kab mob qog nqaij hlav.
  • Periostitis lossis osteomyelitis tshwm sim.
  • Ib daim foos abscess.
  • mob sinusitis tshwm sim vim kev loj hlob ntawm cov cyst hauv cov maxillary sinuses.
  • Nrog kev loj hlob ntawm lub cyst, qhov tshwm sim ntawm kev puas tsuaj ntawm lub puab tsaig yog siab.
  • ntshav kab mob vim nkag mus ntawm cov ntsiab lus purulent rau hauv cov ntshav.
Kev kho hniav
Kev kho hniav

Tsis txhob ncua kev kho cov cyst, muab cov teeb meem loj heev. Hauv qee qhov xwm txheej, muaj qhov txaus ntshai ntawm kev hloov pauv ntawm cystic tsim rau hauv cov qog nqaij hlav.

Cyst tiv thaiv

Nws tsis tuaj yeem tiv thaiv koj tus kheej los ntawm kev tsim cov neoplasms ntawm cov hauv paus hniav ntawm 100%, tab sis koj tuaj yeem tiv thaiv kev tiv thaiv,uas yuav txo qhov yuav tshwm sim ntawm lawv qhov tshwm sim. Cov no suav nrog:

  1. Mus ntsib kws kho hniav ib ntus, txawm tias tsis muaj teeb meem pom.
  2. Ua tib zoo ua raws li txhua cov lus qhia txog kev tu koj cov hniav.
  3. Kho mob qhov ncauj qhov ncauj.
  4. Tiv thaiv kev raug mob rau thaj tsam maxillofacial.
  5. Tsis txhob quav ntsej ib qho mob hauv qhov ncauj.

Ib kab mob ntawm lub hauv paus tsis yog kab lus. Pathology zoo heev rau kev kho mob, tshwj xeeb tshaj yog ua tiav nrog kev tshawb pom ntxov. Siv cov tshuaj tua kab mob, koj tsuas yog tshem tawm cov tsos mob, ua rau nws nyuaj rau kev kuaj mob. Cov kab mob pathology txuas ntxiv txhim kho thiab qhov tshwm sim loj tsis tuaj yeem zam yam tsis muaj kev kho mob.

Pom zoo: